ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025
Effectiveness of mailed versus in-person PAP initiation in the Veterans Affairs' TeleSleep program.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Lessons learned from a qualitative evaluation of Veterans' experience with the VA tele-PAP program during the COVID pandemic.Frontiers in health services · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors.
Funding
Abstract
STUDY
objectivesThis study sought to evaluate whether telehealth setup was noninferior to in-person setup for veterans initiating positive airway pressure (PAP) therapy.
methodsPAP setups before and after the COVID-19 pandemic were identified at 2 Veterans Affairs health systems. Telehealth PAP setups occurred between March 2020 and December 2021. The in-person PAP setups occurred between January and December 2019. PAP data were extracted for days 1-30 (month 1) and 60-90 (month 3). PAP use was compared between in-person and telemedicine using hours used per night, days used (out of 30 days), and residual apnea-hypopnea index (among adherent users). Noninferiority analyses were performed, using the following noninferiority margins: 45 minutes for hours used, 4 days for days of usage, and 5 events/h for residual apnea-hypopnea index.
resultsA total of 432 Veterans Affairs patients (93.5% male) who underwent PAP setup were included (224 in-person; 208 telehealth). Noninferiority was established for PAP usage at month 1 (90% confidence interval [CI] = -0.31, 0.53) and month 3 (90% CI = -0.18, 0.71), days used at month 1 (90% CI = -2.28, 1.33) and month 3 (90% CI = -1.75, 2.20), and residual apnea-hypopnea index at month 1 (90% CI = -0.40, 1.62) and month 3 (90% CI = -0.69, 2.30).
conclusionsInitiation of PAP therapy via telehealth was noninferior to in-person setup visits in terms of PAP adherence among veterans who use Veterans Affairs care. CITATION: Gomez A, Sarmiento KF, Smith C, et al. Effectiveness of mailed versus in-person PAP initiation in the Veterans Affairs' TeleSleep program.
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Registered trials
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